DR. MICHELLE LINN GRIGSBY (NPI# 1851554729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851554729 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE LINN GRIGSBY |
| Credential | PH.D. |
| Practice Address |
12915 Jones Maltsberger Rd Ste 204 San Antonio TX 78247-4282 |
| Mailing Address |
16418 Durango Creek Dr San Antonio TX 78247-4425 |
| Practice Telephone | 2106835975 |
| Practice Fax Number | 2107143690 |
| Mailing Telephone | 2106835975 |
| Mailing Fax Number | 2107143690 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 34762 | TX | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
34762 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0285249-06 | 05 | |
| TX | UNITED BEHAVIORAL HEALTH | 215695747 | 01 |
| TX | MAGELLAN HEALTH SERVICES | 263982000 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18838 Stone Oak Pkwy, Ste 101, San Antonio, TX 782584113 | 2106835975 | 2107143690 |
| 19230 Stonehue Ste 118, San Antonio, TX 782583448 | 2106835975 | 2107143690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720536741 | Michelle Alexandria Grigsby | Counselor | 9030 Stebbing Way, Apt L, Laurel, MD 20723-5946 | 2016-09-19 |
| Street Address |
12915 JONES MALTSBERGER RD STE 204 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78247-4282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134466 | Minerva Desdemona Williams | Occupational Therapy Assistant | 1 Heartland Drive, San Antonio, TX 78247 | 2018-08-18 |
| 1730698903 | Stefanie Anne Gray | Psychologist | 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 | 2017-09-20 |
| 1710405618 | Denisa Nicole Lopez | Physical Therapist | 16506 Blanco Key, San Antonio, TX 78247 | 2017-08-31 |
| 1114458361 | H-e-b, Lp | Eyewear Supplier (Equipment, not the service) | 17238 Bulverde Rd, San Antonio, TX 78247 | 2017-03-21 |
| 1376083899 | H-e-b, Lp | Clinical Medical Laboratory | 17238 Bulverde Road, San Antonio, TX 78247 | 2017-03-02 |
| 1417494659 | Cook Childrens Home Health | Durable Medical Equipment & Medical Supplies | 11911 Starcrest Drive, San Antonio, TX 78247 | 2017-01-26 |
| 1245772268 | Sarah Rudd | Specialist/Technologist | 5126 Spring Bridge, San Antonio, TX 78247 | 2016-11-08 |
| 1477903938 | Kadie Patricia Kress | Physical Therapist | 4718 Cypress Mill Dr, San Antonio, TX 78247 | 2016-06-15 |
| 1649653288 | Regina Giannola | Perfusionist | 6742 Manor Hill Dr., San Antonio, TX 78247 | 2015-07-01 |
| 1538565189 | Swift Eye Care, Pllc | Optometrist | 17230 Bulverde Rd, Suite 104, San Antonio, TX 78247 | 2014-11-10 |
| Find all providers in zip 78247 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323097 | Ashleigh Elizabeth Fellows | Psychologist | 11750 Mission Trace St, San Antonio, TX 78230-2120 | 2020-10-13 |
| 1063990976 | Diane Laverne Coalson | Psychologist | 16803 Turkey Point St, San Antonio, TX 78232-1828 | 2018-08-02 |
| 1396251757 | Dr. Jacob Pickard Phd, Clinical Psychologist, PC | Psychologist | 1854 Lockhill Selma Rd Ste 102, San Antonio, TX 78213-1557 | 2017-12-21 |
| 1730698903 | Stefanie Anne Gray | Psychologist | 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 | 2017-09-20 |
| 1801317334 | Alliance Psychology Specialists, Pllc | Psychologist | 7201 Broadway St Ste 218, San Antonio, TX 78209-3773 | 2017-07-06 |
| 1508317116 | John Martin Velasquez | Psychologist | 4030 Tallulah Dr, San Antonio, TX 78218-3448 | 2016-10-18 |
| 1275980740 | Richard John Rini | Psychologist | 4607 Midnight Woods St, San Antonio, TX 78249-1817 | 2016-05-15 |
| 1821451402 | Trudi Zaplac, J.d., Ph.d., Pllc | Psychologist | 7715 Wexford Sq, San Antonio, TX 78240-3923 | 2016-04-01 |
| 1174981542 | Needhi Bhaga | Psychologist | 531 Stonewood St, San Antonio, TX 78216-7920 | 2016-02-01 |
| 1457717613 | Tim Peterson | Psychologist | 4940 Broadway St, Suite 139, San Antonio, TX 78209-5747 | 2016-01-04 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78247 |
Please comment or provide details below to improve the information on DR. MICHELLE LINN GRIGSBY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.